Pneumoperitoneum following percutaneous endoscopic gastrostomy

Gottfried, Edward B.; Plumser, Allan B.; Clair, Michael R.

doi:10.1016/s0016-5107(86)71919-6

Cited by 112 publications

(54 citation statements)

References 8 publications

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“…In the literature, the reported rates of major and minor complications vary between 2.7-2.8% and 6-7.1%, respectively. The most common minor complication is a peristomal infection [8,9,10]. While none of the patients in the present study developed a significant complication, 12% experienced a minor complication in the short-term.…”

Section: Discussionmentioning

confidence: 56%

Percutaneous endoscopic gastrostomy in neurology intensive care unit

İnanç¹,

Gokce²,

Tuncel³

et al. 2018

Int J Surg Med

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Purpose: To evaluate the demographical characteristics of patients who underwent percutaneous endoscopic gastrostomy procedure in the neurology intensive care clinics. Material and Methods: Patients who underwent percutaneous endoscopic gastrostomy procedure in neurology intensive care clinics between 2015-2017 were included in this study. Demographical characteristics of the cases were retrospectively evaluated. Findings: In total, 50 patients (21 women, 29 men) were evaluated as the study group. Mean duration of follow-up was 40.12±30.19 days. All patients who underwent percutaneous endoscopic gastrostomy procedure had neurological disorders. Mean age of the patient group was 73±15.8 years. Mean Glasgow coma score (GCS) as evaluated on the day of PEG decision was 9.18±3.6. Five patients developed a skin infection on the site of PEG entry and one patient experienced peristomal bleeding. Conclusion: Enteral route must be the first option to be preferred for feeding patients who receive long-term inpatient treatment for neurological disorders in intensive care units. In patients who do not tolerate oral intake, percutaneous endoscopic gastrostomy applications provide a route to give pre-prepared nutritional solutions. Long-term nutritional support can be given through this route with minimal complications.

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Section: Discussionmentioning

confidence: 56%

Percutaneous endoscopic gastrostomy in neurology intensive care unit

İnanç¹,

Gokce²,

Tuncel³

et al. 2018

Int J Surg Med

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“…Bizim serimizde ilk 30 gün-de erken mortalite %5,3, ilk 3 aydaki mortalite ise %10,6 olarak saptanmıştır. PEG işlemine bağlı komplikasyonlar özofagus veya batın içi organ yaralanmaları, sepsis, pnömoperitoneum, peritonit, tüpün yerinden çıkması, yara yeri enfeksiyonudur (16)(17)(18). Litaratürde yara yeri enfeksiyonu %3-30 oranında olmak üzere en sık görülen komplikasyon olarak bildirilmiştir (18)(19)(20)(21)(22)(23)(24)(25)(26).…”

Section: Discussionunclassified

Our Experience in Percutaneous Endoscopic Gastrostomy

Şit¹,

Kahramansoy²,

Tekelioğlu³

et al. 2013

JAREM

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ÖZETAmaç: Kritik hastaların bakım ve tedavisi sırasında enteral beslenme, enerji ihtiyacının karşılanması, vücut direncinin korunması, gastrointestinal sistem (GİS) florasının korunması ve translokasyonların önlenmesi açısından çok önemlidir. Bu çalışmadaki amacımız; hastanemizde PEG takılması planlanan hastaların PEG takılma endikasyonlarını, işlem sonrası komplikasyonlarını ve takipleri ile ilgili verileri sunmaktır.Yöntemler: Çalışmamızda Abant İzzet Baysal Üniversitesi Tıp Fakültesi Genel Cerrahi Anabilim Dalı endoskopi ünitesinde Ocak 2010-Aralık 2012 tarihleri arasında PEG takılması endikasyonu koyduğumuz 81 hasta retrospektif olarak değerlendirildi.Bulgular: Başarıyla PEG uygulanan hastaların 42'si (%56) erkek, 33'ü (%44) kadın idi. Hastaların yaş ortalaması 62+/-22.47idi. PEG uygulaması yapılan hastaların primer hastalıkları 45 (%60) hastada SVO, 4 (%5,3) hastada larinks ca, 2 (%2,6) hasta özofagus ca, 9 (%12) hasta epilepsi sonrası hipoksik iskemik ensefalopati, 3 (%4) hasta travma sonrası ensefalopati, 10 (%13,3) hasta solunum yetmezliği, 1 (%1,3) hasta nörobehçet, 1 (%1,3) hasta lenfosarkom tanılarına sahipti. Ortalama takip süresi 263+/-254,4 gün idi. Dört (%5,3) hastamız PEG işleminden sonraki ilk 1 ay içinde, 8 (%10,6) hastamız PEG işleminden sonraki 3 ay içinde primer hastalığı nedeniyle kaybedildi. Hastalarımızın hiçbirisinde primer olarak PEG işlemine bağlı ölüm görülmedi.Sonuç: Doğru endikasyon konulmuş olan hastalarda PEG uygulaması genel anestezi gerektirmemesi, yatak başında ya da endoskopi odasında uygulanabilir olması, kısa sürede uygulanması, mortalite oranın düşük olması, majör ve minör komplikasyonlar açısından daha avantajlı olması nedeniyle güvenli ve etkin bir şekilde kullanılabilir. (JAREM 2013; 3: 66-8) Anahtar Sözcükler: Perkütan endoskpik gastrostomi, endikasyonlar, enteral beslenme ABSTRACT Objective: Enteral nutrition is essential for critically ill patients for energy intake, body resistance, protection of gastrointestinal flora and prevention of translocation. We aimed in this study to present indications and complications of PEG and the follow up data of the patients in our hospital. Methods:We retrospectively evaluated the data of 81 patients that planned to perform PEG in endoscopy unit of General surgery clinic of Abant Izzet Baysal University Hospital between 2010 January and December 2012.Results: Forty-two (56%) of 75 patients were male and 33 (44%) were female. Mean age was 62+/-22.47 years. Primary diseases of the patients were cerebrovascular diseases in 45 (60%), laryngeal carcinoma in 4 (5.3%), eosophageal carcinoma in 2 (%2.6) hypoxic ischemic encephalopathy in 9 (12%), posttraumatic encephalopathy in 3 (4%), respiratory failure in 10 (13.3%), neurobehcet in 1 (1.3%), and lymphosarcoma in 1 (1.3%) patients. Mean follow up period was 263+/-254.4 days. Four (5.3%) patients died within 1 month, and 8 (10.6%) patients died within 3 months after PEG operation. None of the patients died associated with PEG and complications.Conclusion: PEG is a safe and effective in...

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“…Benign pneumoperitoneum is common after PEG tube insertion, with reported incidence of over 50% (Hillman, 1982, Gottfried et al, 1986, Wojtowycz et al, 1988. Conservative management of patients with pneumoperitoneum, who have undergone a recent PEG in the absence of additional symptoms, is suggested.…”

Section: 1 Tension Pneumoperitoneummentioning

confidence: 99%

Percutaneous Endoscopic Gastrostomy in Pediatric Patients

Saadah¹

2011

Gastrostomy

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Pneumoperitoneum following percutaneous endoscopic gastrostomy

Cited by 112 publications

References 8 publications

Percutaneous endoscopic gastrostomy in neurology intensive care unit

Percutaneous endoscopic gastrostomy in neurology intensive care unit

Our Experience in Percutaneous Endoscopic Gastrostomy

Percutaneous Endoscopic Gastrostomy in Pediatric Patients

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